Medicare Enrolled
Dr. Howard Tee, MD
Cardiovascular Disease · Vero Beach, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Tee from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Tee
Dr. Howard Tee is a cardiovascular disease specialist in Vero Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tee performed 17,474 Medicare services across 6,908 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tee received a total of $54,973 from 54 pharmaceutical and/or device companies across 910 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Tee is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 2% volume in FL
$54,973 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 69141 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗17,474
Medicare services
Top 2% in FL for cardiovascular disease
6,908
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~920 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
5,256 | $0 | $30 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
4,817 | $95 | $168 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
1,245 | $11 | $27 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
792 | $150 | $325 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
630 | $17 | $41 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
551 | $22 | $48 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
413 | $157 | $200 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
383 | $97 | $164 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
302 | $19 | $25 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
293 | $20 | $42 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
285 | $124 | $260 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
251 | $48 | $111 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
207 | $348 | $763 |
| Heart muscle strain imaging | 193 | $30 | $55 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
190 | $139 | $320 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
172 | $28 | $91 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
161 | $19 | $41 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
161 | $51 | $77 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
155 | $662 | $1,131 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
119 | $43 | $125 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
101 | $147 | $320 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
100 | $11 | $81 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
80 | $25 | $86 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
72 | $18 | $33 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
46 | $44 | $69 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
40 | $42 | $121 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
39 | $3,471 | $7,897 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
34 | $382 | $896 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
34 | $85 | $385 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
31 | $168 | $269 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
30 | $65 | $128 |
| Cardiac catheterization | 29 | $248 | $1,613 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
27 | $88 | $250 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
27 | $147 | $309 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
25 | $54 | $142 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
25 | $131 | $183 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
24 | $44 | $132 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
23 | $38 | $60 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
22 | $25 | $77 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
18 | $14 | $150 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
18 | $184 | $410 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
16 | $118 | $227 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 14 | $313 | $1,929 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
12 | $84 | $192 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $84 | $171 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
13.7% high complexity
37.3% medium
49.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$54,973
Total received (2018-2024)
Avg $7,853/year across 7 years
Top 7% in FL for cardiovascular disease
54
Companies
910
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$29,488 (53.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$23,253 (42.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,232 (4.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,748
2023
$5,380
2022
$3,397
2021
$4,931
2020
$1,731
2019
$17,456
2018
$18,330
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$27,682
Amgen Inc.
$3,402
Novo Nordisk Inc
$2,397
Boston Scientific Corporation
$2,288
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,273
Medtronic Vascular, Inc.
$2,183
CVRx, Inc.
$2,032
SANOFI-AVENTIS U.S. LLC
$1,101
AstraZeneca Pharmaceuticals LP
$1,022
Abbott Laboratories
$961
PFIZER INC.
$935
Kowa Pharmaceuticals America, Inc.
$897
Novartis Pharmaceuticals Corporation
$823
BIOTRONIK INC.
$707
Merck Sharp & Dohme LLC
$650
Impulse Dynamics (USA) Inc.
$480
Esperion Therapeutics, Inc.
$465
E.R. Squibb & Sons, L.L.C.
$427
Amarin Pharma Inc.
$360
Lundbeck LLC
$354
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$338
Actelion Pharmaceuticals US, Inc.
$329
Edwards Lifesciences Corporation
$300
Gilead Sciences, Inc.
$204
Regeneron Healthcare Solutions, Inc.
$204
ARBOR PHARMACEUTICALS, INC.
$189
Bayer HealthCare Pharmaceuticals Inc.
$183
Alnylam Pharmaceuticals Inc.
$183
Lilly USA, LLC
$149
Silk Road Medical, Inc.
$149
Akcea Therapeutics, Inc.
$147
Astellas Pharma US Inc
$146
Medicure Pharma Inc.
$139
Lexicon Pharmaceuticals, Inc.
$108
Merck Sharp & Dohme Corporation
$94
Resmed Corp
$76
Amryt Pharma Holdings Ltd
$65
Aegerion Pharmaceuticals, Inc.
$61
Medtronic, Inc.
$61
ABIOMED
$59
Coala Life Inc
$43
Currax Pharmaceuticals LLC
$39
Bayer Healthcare Pharmaceuticals Inc.
$34
Kestra Medical Technology Services, Inc.
$33
Allergan Inc.
$30
SCPHARMACEUTICALS INC.
$27
Kiniksa Pharmaceuticals, Ltd.
$23
Bardy Diagnostics, Inc.
$22
ATRICURE, INC.
$21
Arbor Pharmaceuticals, Inc.
$17
AltaThera Pharmaceuticals LLC
$17
Baxter Healthcare
$15
Sobi, Inc
$13
iRhythm Technologies, Inc.
$11
Top 3 companies account for 60.9% of total payments
Associated products mentioned in payments ›
AIRSENSE · AMPLATZER AMULET · AMVIA EDGE · AVEIR · AZURE XT DR MRI SURESCAN · Arcalyst · Assure WCD · Azure · BIOMONITOR · BRILINTA · BYSTOLIC · Barostim Neo System · CAMZYOS · CARDIOMEMS · CHANTIX · CONFIRM RX · CONTRAVE · CareLink · Carnation Ambulatory Monitor · Coala Heart Monitor · Cobalt · Confirm Rx · Connectivity and Remote care · Corlanor · ELIQUIS · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edarbi · Edarbyclor · Edora 8 DR-T · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FORTIFY ASSURA · FUROSCIX · GENERAL THERAPIES · Hillrom - Carnation Ambulatory Monitor · INVOKANA · Impella · Inpefa · JARDIANCE · JOT DX · JUXTAPID · Kerendia · LEQVIO · LEXISCAN · LIVALO · LifeVest · Livalo · MOUNJARO · MULTAQ · Merlin Connectivity and Remote · Mitra Clip system · MitraClip System · NEXLETOL · NEXLIZET · NORTHERA · ONPATTRO · OPSUMIT · OPTIMIZER · Optimizer · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · REVEAL LINQ · RYBELSUS · Ranexa · Repatha · Reveal LINQ · Rivacor · SAPIEN 3 Ultra RESILIA · SQRX PULSE GENERATOR · Saxenda · Sotalol Hydrochloride · TEGSEDI · TRULICITY · UPTRAVI · VERQUVO · VYNDAQEL · Vascepa · WAINUA · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · Xience Sierra Coronary Stent System · ZIO Patch · ZYPITAMAG · Zypitamag
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (54%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for cardiovascular disease in FL.
Equivalent to $315 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
43
Per 100K population
26.2
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Tee is a clinical cardiology specialist, with above-average Medicare volume (top 2% in FL), with speaking/promotional industry engagement in the top 7% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Tee experienced with adenosine injection, 1 mg?
Based on Medicare claims data, Dr. Tee performed 5,256 adenosine injection, 1 mg services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tee receive payments from pharmaceutical companies?
Yes. Dr. Tee received a total of $54,973 from 54 companies across 910 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Tee's costs compare to other cardiologists in Vero Beach?
Dr. Tee's average Medicare payment per service is $70. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Tee) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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